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  3. Vectorborne Diseases: Summer Bugs (mosquitoes, Ticks, and Other Pests)
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Vectorborne Diseases

  • Vectorborne Diseases Home
  • Vectorborne Diseases and Climate Change
  • Reporting Arboviral Disease

Related Topics

  • Mosquitoborne Diseases
  • Tickborne Diseases
  • Other Pests of Medical Interest
  • Infectious Diseases A-Z
  • Reportable Infectious Diseases

Vectorborne Diseases

  • Vectorborne Diseases Home
  • Vectorborne Diseases and Climate Change
  • Reporting Arboviral Disease

Related Topics

  • Mosquitoborne Diseases
  • Tickborne Diseases
  • Other Pests of Medical Interest
  • Infectious Diseases A-Z
  • Reportable Infectious Diseases
Contact Info
Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Contact Info

Infectious Disease Epidemiology, Prevention and Control Division
651-201-5414
IDEPC Comment Form

Arboviral Disease Case Report Form

This form can be used to report chikungunya virus disease, Eastern equine encephalitis, Jamestown Canyon virus disease, La Crosse encephalitis, Powassan virus disease, St. Louis encephalitis, West Nile virus, Western equine encephalitis, yellow fever, Zika virus disease and other arboviral diseases.

On this page:
Arboviral form
Frequently asked questions 
Returning the completed form 
Diseases to report on this form

Arboviral form

  • Arboviral Disease Case Report Form (PDF) 
    Updated 2015
     

Frequently asked questions

  • If you have questions regarding this form, please call 651-201-5414.
     
  • When reporting on this form, a Yellow Card is not necessary.
     
  • Please do not report Malaria on the arboviral report form, use the disease-specific form: Malaria Case Report Form
    This form can be used to report Malaria (Plasmodium spp.) to the Minnesota Department of Health. Please report all patients (symptomatic or asymptomatic) who test positive for Plasmodium species.

Returning the completed form

After filling out this form, please return to MDH:

  • By mail (please mark the envelope "confidential") to:
    Infectious Disease Epidemiology, Prevention and Control
    625 North Robert Street
    Post Office Box 64975 
    St. Paul, MN 55164-0975 
     
  • By fax to:
    1-800-233-1817

Diseases to report with this form

  • Arboviral Disease
  • Chikungunya virus disease
  • Yellow fever
  • Zika virus disease

 

Tags
  • vectorborne
Last Updated: 07/02/2025

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